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Evaluating the impact of case management dosage
Diane L Huber1, Mary Vaughan Sarrazin, Thomas Vaughn
1College of Nursing, Center for Addictions Research, The University of Iowa, Iowa City 52242, USA. diane-huber@uiowa.edu
Nursing Research
|September 23, 2003
Summary
Measuring case management dosage in substance abuse treatment is complex but achievable. Higher engagement in case management correlates with fewer legal and family issues, improving client outcomes.
Area of Science:
- Addiction Medicine
- Health Services Research
- Psychiatric Services
Background:
- Assessing case management quality and outcomes is difficult due to varied client needs and intervention intensity.
- Quantifying the 'dose' of case management is crucial for effective quality assessment and outcome management.
Purpose of the Study:
- To evaluate how intervention dosage impacts client outcomes across various case management models.
- To analyze the relationship between case management intensity and treatment success in substance abuse recovery.
Main Methods:
- A clinical trials dataset was analyzed using descriptive and repeated measures.
- 598 substance abuse clients were randomized into four groups (three receiving case management) and followed for one year.
- Case management dosage and client outcomes were systematically measured.
Main Results:
- Client engagement in case management was linked to reduced legal and family problems.
- Clients actively participating in case management had a higher likelihood of baseline chronic medical conditions.
- Case management dosage significantly influenced outcomes in legal and family domains.
Conclusions:
- A feasible model for measuring case management intervention dosage is presented.
- Quantifying dosage can support cost-effective healthcare initiatives in addiction treatment.
- Further research is recommended to refine specific intervention protocols for case management.